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Forms: Authorization for Payroll Deduction for International Scholars, Staff, and Faculty Fees

Authorization for Payroll Deduction for International Scholars, Staff, and Faculty Fees


UD ID:
Name:
Visa Type:
Country of Origin:
Date of Birth: (mm/dd/yyyy)
Department:

One-Time Department Payment
I authorize the University of Delaware to deduct the amount indicated below for payment of International Fees.
$100.00 International Service Fee for J-1
$250.00 International Service Fee for H1B
$500.00 International Service Fee for Permanent Residency Application.

Department funding to be charged:
Purpose:
Account:

To view the policy for the International Service Fee, please visit:
http://www.udel.edu/oiss/About_Us/intlfee2.html
Any questions regarding this form, please contact OISS at (302) 831-2115, or at oiss@udel.edu

Signature
Name:      Date: (mm/dd/yyyy)
Last Name:
Email:

 

 
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